| Regimental number | 16138 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of Christ |
| Occupation | Farmer |
| Address | c/o Marcus Clark, Central Square, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs D Clark, 'Ozonia', 47 Osborne Road, Manly, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Mechanical Transport Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Motor Transport Company |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | No date of return entered on Nominal Roll. |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
